Damante, Eileen Fortune

Damante, Eileen Fortune is an individual health care provider with primary practice located at 80Th St & 41St Ave , Elmhurst NY 11373-1329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Damante, Eileen Fortune can be contacted via phone (718) 334-3969.

Contact Information

Primary practice address
80Th St & 41St Ave Elmhurst NY 11373-1329
Phone: (718) 334-3969
Fax: (718) 334-5958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303572 New York

Profile Details

NPI number 1255429791
LBN Legal business name Damante, Eileen Fortune
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255429791 NPPES
New York MEDICAID 02695485

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